1980, 09-03 Permit: 80-9532 GaragePLAN NUMBER _ s APPLICATION/ PERMIT
* SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
1 1
LOT B K UBD I N " PARCEL NUMBER/5
2. ! L x l�ic7'.' Ct cT I
OWNER PHONE
3..: _ G'. ".� A 7 - 1' -
ADDRESS ZIP Actual Set Backs in Feet i
North,' ) South East `1 J i West
CO TRACTOR 1 PHONE Size of Parcel i Zone Classificatiop
4. A DRESS ZIP Type Const. Occupancy Sphnklered
"( ? 1. ,
❑Yes [No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in.Sq. Ft.
5.ADDRESS ZIP Main Floor Upper Floors Garage Area storage
CHANGE OF USE FROM TO Area o¢ Decki I Finished Basement Unfin. Basement
No. Baths No. Stories No. Room No. of Dwellings
TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ElBED ElPLMB. ❑ MECH. ElM.H. ElPOOL ❑OTHER
WORK CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
D�SCRIBE WORK t' Enum. Dist. Location (Area)
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9, UTILITIES Public ❑Private
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included if
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building 6''
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
40
Mech.
SPECIAL APPROVALS
NAME DATE
anning
re Mar
neer
Utilities
Plans E>
SPECIAL CONDITIONS:
ng Technician PERMIT IS NONTRANSFERABLE
=f'� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
. �.,_.� '��a(�5
TOTAL $�_
PERMIT NUMBER I
C2* *5600
'S 'L
*5600
* 0 } U
95G 9`
0 03-80
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED J PERMIT NO.
*56.00 00
TOTAL
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